Failure to Provide Individualized and Ongoing Activity Program
Penalty
Summary
The facility failed to provide an ongoing program of activities designed to meet the interests and physical, mental, and psychosocial well-being of each resident, as evidenced by observations, interviews, and record reviews. Multiple residents were observed sitting idle in their rooms or hallways without engagement in any activities, despite documented preferences and care plans indicating the importance of such activities. For example, one resident with severe cognitive impairment and a diagnosis of dementia and anxiety was observed sitting in a hallway without engagement, and there was no care plan or activity assessment available for this resident. Another resident with Alzheimer's disease and a history of enjoying crafts and reading was found sitting in their room with nothing to do, and staff did not offer or assist the resident in participating in group activities occurring nearby. Documentation and record-keeping regarding activity participation and preferences were lacking or incomplete for several residents. Activity participation records were not provided for requested residents, and activity assessments were either missing or not updated. Interviews with staff, including the Activity Director, revealed that activity assessments were not consistently completed, preferences were not tracked, and care plans were not updated to reflect residents' interests. The Activity Director admitted to not attending care plan meetings, not charting activity participation regularly, and not planning or carrying out activities on certain units, such as the memory care unit. Residents and their representatives reported that activities were not tailored to individual interests, and that staff did not consistently offer or encourage participation in activities. Some residents expressed a desire for more outdoor activities, assistance with personal interests such as reading or bird watching, and more activities geared toward specific groups, such as men. Observations confirmed that scheduled activities were not always announced or offered, and that residents were often left without stimulation or engagement, despite documented needs and preferences.